DR. CECIL PETER BROWN (NPI# 1972113421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972113421 |
| Entity Type | Individual |
| Full Name | DR. CECIL PETER BROWN |
| Credential | MD |
| Practice Address |
13013 Fuller Ave Ste A Grandview MO 64030-2687 |
| Mailing Address |
12 Broadway Village Dr Apt A Columbia MO 65201-6176 |
| Practice Telephone | 8162145548 |
| Mailing Telephone | 3858883385 |
| Enumeration Date | 2020-08-08 |
| Last Update Date | 2020-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2020017672 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245377027 | Cecil E. Brown Sr. | Dentist | 1121 W Michigan St., Room 302, Indianapolis, IN 46202-5186 | 2007-01-31 |
| 1598862179 | Cecil Y Brown | Family Medicine | 314 W Farley Ave, Laurens, SC 29360-3055 | 2006-09-17 |
| 1295056067 | Cecil Elsmond Brown Jr. | Surgery | 1211 Sherwood Park Dr Ne Ste A, Gainesville, GA 30501-3444 | 2010-06-16 |
| Street Address |
13013 FULLER AVE STE A |
| City | GRANDVIEW |
| State | MO |
| Zip Code | 64030-2687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730602921 | Saurav N Kayastha | Physician Assistant | 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 | 2017-07-19 |
| 1477151611 | David Cohen | Family Medicine | 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 | 2020-10-10 |
| 1235736166 | The Tran | Family Medicine | 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 | 2020-10-04 |
| 1891392965 | Karan Kapoor | Family Medicine | 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 | 2020-10-02 |
| 1952911406 | Samina Shabnam | Family Medicine | 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 | 2020-08-08 |
| 1346850559 | Jafar Ohiokpehai | Family Medicine | 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 | 2020-08-03 |
| 1801414289 | Shah Taha Sarmast | Family Medicine | 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 | 2020-07-11 |
| 1144847989 | Alicia Ann Bianco | Family Medicine | 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 | 2020-06-27 |
| 1174147342 | Lincoln David Hiatt | Family Medicine | 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 | 2020-06-03 |
| 1164044129 | Mohammed Haider Aldahan | Family Medicine | 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477039402 | Garrett Wayne Nicol | Physical Therapist | 7201 E 147th St Ste 120, Grandview, MO 64030 | 2018-07-12 |
| 1235631771 | Rashida Balqees | Family Medicine | 13013 Fuller Ave A, Grandview, MO 64030 | 2018-03-01 |
| 1659890721 | Job One Careers | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12604 E 3rd Street, Grandview, MO 64030 | 2017-09-11 |
| 1144766080 | Megan Little | Naturopath | 12817 Crystal Ave, Grandview, MO 64030 | 2017-01-17 |
| 1578925095 | Heart of America Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 4338 E 142nd St, Grandview, MO 64030 | 2016-03-23 |
| 1568856888 | Barbara Lynn Cavanaugh | Nurse Practitioner | 13013 Fullerave, Suite A, Grandview, MO 64030 | 2015-03-25 |
| 1225478886 | Essential Developments L.L.C. | Day Training, Developmentally Disabled Services | 14908 Grand Summit Blvd Apt 202, Grandview, MO 64030 | 2013-06-27 |
| 1154685956 | Colin Tollerton Smith Jr. | Dentist | 13051 S Hwy 71, Grandview, MO 64030 | 2012-06-27 |
| 1841448750 | Concentra Health Services, Inc. | Clinic/Center | 12220 A S Blueridge Blvd., Grand View, MO 64030 | 2008-09-04 |
| 1295919363 | American Current Care PC | Clinic/Center | 12220a South Blueridge Blvd., Grandview, MO 64030 | 2007-12-24 |
| Find all providers in zip 64030 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083173389 | Hina Siddiqi | Family Medicine | 13013 Fuller Ave Apt 3, Grandview, MO 64030-2619 | 2019-03-16 |
| 1235631771 | Rashida Balqees | Family Medicine | 13013 Fuller Ave A, Grandview, MO 64030 | 2018-03-01 |
| 1568639128 | David Jeffrey Kricsfeld | Family Medicine | 7201 E. 147th Street, Encompass Hickman Mills Clinic Office, Grandview, MO 64030-0000 | 2008-05-13 |
| 1740273465 | Kenneth Steven Braton | Family Medicine | 12121 Blue Ridge Ext, Ste. M, Grandview, MO 64030-6401 | 2005-08-28 |
| 1386645471 | Jeffrey Allen Scott | Family Medicine | 13010 White Ave, Suite A, Grandview, MO 64030-2667 | 2005-08-10 |
| 1568462992 | Kenneth Lawrence Taylor-butler | Family Medicine | 7201 E 147th St, Grandview, MO 64030-4204 | 2005-07-28 |
| 1891792198 | Karen L Easton | Family Medicine | 208 N Euclid Rd, Grandview, WA 98930-9470 | 2005-06-30 |
| 1477151611 | David Cohen | Family Medicine | 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 | 2020-10-10 |
| 1235736166 | The Tran | Family Medicine | 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 | 2020-10-04 |
| 1891392965 | Karan Kapoor | Family Medicine | 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 | 2020-10-02 |
| Find all providers in GRANDVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.